Research Forum Educational Program 2013

RESEARCH FORUM EDUCATIONAL PROGRAM 2013 MONDAY, OCTOBER 14, 2013 7:30 - 8:30 AM LIGHTNING ORAL PRESENTATIONS - Emergency Department Flow Jesse Pines, MD, MBA, FACEP - Moderator

Trauma 9*

Administration 1

2

Prospective Evaluation of a Scribe Program’s Impacts on Provider Experience, Patient Flow, Productivity, and Teaching in an Academic Emergency Medicine Practice Hess JJ, Emory University, Atlanta, GA The Role of a Split-Flow Model in the Improvement of Emergency Department Efficiency with Respect to Patients Presenting With Different Acuity Levels Joseph A, John Peter Smith Hospital, Fort Worth, TX

Resuscitation 10

The Impact of a Structured, Team-Based Care Model on Patient Satisfaction, Emergency Department Throughput, and Staff Satisfaction Pendley AM, Emory University, Atlanta, GA

11*

Analysis of Ambulance Offload Delay at an Academic Level 1 Trauma Center With Adult and Pediatric Emergency Departments Cooney DR, SUNY Upstate Medical University, Syracuse, NY

Informatics 5

Information Technology Improves the Quality of the Emergency Department Patient Discharge Instructions: A Quasi-Experimental Study Bell EJ III, Brigham and Women’s Hospital, Boston, MA

Cerebral So2 Monitoring in Pediatric Altered Mental Status Patients Kane ID, Vanderbilt, Nashville, TN

Cardiology 12

Emergency Medical Services 4

Music to Prevent Hyperventilation During Cardiopulmonary Resuscitation Allgaier BC, Texas A&M Health Science Center, Temple, TX

Pediatrics

Quality and Patient Safety 3*

Validation of the Denver Emergency Department Trauma Organ Failure Score to Predict Post-Injury Multiple Organ Failure Vogel JA, Denver Health Medical Center and University of Colorado School of Medicine, Denver, CO

Do Patients With Acute Massive Pulmonary Embolism Uniformly Demonstrate Right Heart Strain? Henwood PC, Brigham and Women’s Hospital, Boston, MA

MONDAY, OCTOBER 14, 2013 1:00 - 1:30 PM STATE-OF-THE-ART PRESENTATIONS – Emergency Medicine Research Success Stories – Top Papers by Emergency Physicians Ed Panacek, MD, FACEP 1:30 - 2:30 PM EMF GRANT SHOWCASE Mark Courtney, MD, FACEP - Moderator

Health Care Policy

Health Care Policy

6†*

EMF-1†

Explaining Variations in Emergency Department Volume: HospitalSpecific Characteristics, Hospital Closures, and Other Relevant Factors Lee DC, RWJF Clinical Scholars Program, Philadelphia, PA

10:30 - 11:30 AM LIGHTNING ORAL PRESENTATIONS - Critical Care Alan Heffner, MD, FACEP - Moderator

Cardiology EMF-2

Diagnosis/Treatment 7

The ESP (Early Sepsis Prophylaxis) Study: Can Implementation of a Basic Sepsis Bundle Reduce Mortality? A Three-Year Sepsis Research Registry Experience D’Amore JA, North Shore University Hospital, Manhasset, NY

Effects of Potassium-Lidocaine–Induced Cardiac Standstill During Conventional Cardiopulmonary Resuscitation in a Pig Model of Prolonged Ventricular Fibrillation Jeung KW, Chonnam National University Hospital, Gwangju, Korea

Volume 62, no. 4s : October 2013

Optimizing Self-Care Skills for Patients With Acute Heart Failure Using Geospatial Analysis Bryce SN, Vanderbilt University Medical Center, Nashville, TN

Quality and Patient Safety EMF-3†

Resuscitation 8*

Do Emergency Department Closures have Ripple Effects on Surrounding Communities?: An Analysis of Closures on Inpatient Mortality for All-Comers in California, 1999-2010 Hsia RY, University of California San Francisco, San Francisco, CA

Retrospective Study to Identify Highly Imaged Conditions Griffey RT, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO

Pain Management EMF-4*

Communication about Opioid versus Non-Opioid Analgesics in the Emergency Department McCarthy DM, Northwestern University, Chicago, IL

Annals of Emergency Medicine A3

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013

Neurology

8:00 - 8:30 AM STATE-OF-THE-ART PRESENTATIONS - Decisions - Decisions Donald Yealy, MD, FACEP

20

8:30 - 9:30 AM LIGHTNING ORAL PRESENTATIONS James Holmes, MD, FACEP, Moderator

Critical Care 21†

Ultrasound The Massachusetts Abscess Rule: A Decision Rule for Soft Tissue Ultrasound That Excludes MRSA Gaspari R, UMASS, Worcester, MA

13

Trauma Emergency Department Observation of Patients With Traumatic Intracranial Hemorrhage Borczuk P, Massachusetts General Hospital, Boston, MA

14

Rapid Discharge of Patients Presenting to the Emergency Department With Cocaine Chest Pain: Application of an Abbreviated Cardiac Enzyme Protocol in the Clinical Decision Unit Guirgis FW, University of Florida, Jacksonville, FL

22

Safety of Intranasal Midazolam: An Analysis of Adverse Events in a Multicenter Cohort Mellion S, Children’s Hospital Colorado/University of Colorado School of Medicine, Aurora, CO

23

Multicenter Analysis of Factors Associated With Delayed Analgesia and Response to Pain Medication in Pediatric Renal Colic Patients Lema PC, University of Rochester Medical Center, Rochester, NY

Trauma 24

Infectious Diseases A More Sensitive Risk Stratification Tool for Identifying Spine Infection Than “Red Flags” or Fever Shroyer SR, Greater San Antonio Emergency Physicians, San Antonio, TX

16

Cardiology 17

EMF

Efficacy of Intra-Aortic Balloon Occlusion for Treatment in Blunt Trauma Patients With Shock Norii T, University of New Mexico, Albuquerque, NM

MONDAY, OCTOBER 14, 2013 8:00 - 9:00 AM POSTER PRESENTATIONS Administration

Performance of a High-Sensitivity Troponin I Assay in Emergency Department Patients Evaluated for Acute Coronary Syndromes Moses E, Washington University School of Medicine, St. Louis, MO

Toxicology & Pharmacology 18

Thrombotic Events After Vitamin K Antagonist Reversal With 4-factor Prothrombin Complex Concentrate or Plasma Milling TJ, University Medical Center at Brackenridge, Dell Children’s Medical Center, Austin, TX

Pediatrics

Cardiology 15*

A Randomized Double-Blind 3-armed Comparative Efficacy Trial of IV Valproate versus IV Ketorolac and versus IV Metoclopramide for Emergency Department Treatment of Acute Migraine Garber LW, Albert Einstein College of Medicine, Bronx, NY

Prospective Validation Study of the Prediction of Alcohol Withdrawal Severity Scale (PAWSS): A New Scale for the Prediction of Moderate to Severe Alcohol Withdrawal Hills-Evans K, Stanford University School of Medicine, Menlo Park, CA

25*

An Innovative Solution to Reduce Emergency Department Recividism Among Substance Abuse and Psychiatric Patients Joshua A, University of California San Diego, San Diego, CA

26

Flexible Care Area as an Emergency Department Front-End Solution Pothof J, University of Wisconsin, Madison, WI

27†

Reducing Emergency Department Admission Wait Times: Two Successful Approaches Patel PB, Kaiser Permanente, Roseville, CA

28

Implementation of a Rapid Assessment Unit (Intake Team): Impact on Emergency Department Length of Stay Mackenzie RS, Lehigh Valley Health Network, Allentown, PA

29

Characteristics Associated With Delays in Initial ECG Among Acute Myocardial Infarction Patients Osborne AD, Emory University, Atlanta, GA

1:00 - 2:00 PM LIGTHNING ORAL PRESENTATIONS - Therapeutics Alan Jones, MD, FACEP - Moderator

Basic Science Diagnosis/Treatment 19†

Treatment of Pulmonary Embolism Treatment With Rivaroxaban and LMWH-VKA: Length of Stay and Economic Implications in the Emergency Department Setting Bookhart BK, Janssen Scientific Affairs, LLC, Raritan, NJ

A4 Annals of Emergency Medicine

30

Adiponectin Inhibits Oxidative/Nitrative Stress During Myocardial Ischemia and Reperfusion via PKA Signaling Lau WB, Thomas Jefferson University, Lansdale, PA

31†

Iintraosseous Pressure Tracings Mimics Arterial Pressure Tracings in Timing and Contour Frascone RJ, Regions Hospital, St. Paul, MN

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd 32†

Decreasing Intraosseous Pressure and Increasing Respiratory Variability Track Fluid Volume Reduction in a Porcine Hypovolemia Model Frascone RJ, Regions Hospital, St. Paul, MN

47

Effect of a Diagnostic Pathway on the Appropriateness of Emergency Department Computed Tomography for Pulmonary Embolus Schuur JD, Brigham and Women’s Hospital, Boston, MA

33†

Potassium Shifts During Therapeutic Hypothermia Induced via Esophageal Heat Transfer in Swine Kulstad E, Advocate Christ Medical Center, Chicago, IL

48

34EMF

Surface Deposition Rates for Strains of Staphylococcus Epidermidis Isolated from Skin versus Blood VanEpps JS, University of Michigan, Ann Arbor, MI

Does the Teach-Back Method Increase Patient Recall of Discharge Instructions in the Emergency Department? Slater B, Saint Louis University School of Medicine, Saint Louis, MO

49

Emergency Department Patients Without Primary Providers: Adherence to Scheduled Follow-Up Appointments Bigelow J, University of New Mexico, Albuquerque, NM

50

Emergency Department Survey to Determine the Feasibility of Using Mobile Camera Phones for Outpatient Follow-Up of Soft-Tissue Injuries Fleeger T, Spectrum Health Hospitals/Michigan State University, Grand Rapids, MI

51

Significant Reduction of Emergency Department Central Venous Catheter Placement After Implementation of Nursing Education on Ultrasound-Guided Peripheral Vein Canalization Cassidy DD, Orlando Regional Medical Center, Orlando, FL

52

Significant Reduction of Abdominal Computed Tomography Usage in a Pediatric Emergency Department Following Implementation of Emergency Physician Educational Initiatives Cassidy DD, Orlando Regional Medical Center, Orlando, FL

53

Emergency Department Vital Signs are Not Predictive of Rapid Response Assessment Team Activation and Early Clinical Deterioration After Arrival on a Medical Floor Berkovits AS, University of Nevada School of Medicine, Las Vegas, NV

54*

Improving the Safety of Rapid Sequence Intubation in a Pediatric Emergency Department Kerrey BT, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

55†

Emergency Physicians Maintain Performance on the American Board of Emergency Medicine Continuous Certification (ConCert) Examination Marco C, University of Toledo College of Medicine, Toledo, OH

35

Evaluating the Views on Organ Donation in an Urban Emergency Department Stobart-Gallagher M, Einstein Medical Center Philadelphia, Philadelphia, PA

Disaster/NBC 36

Impact of Hurricane Sandy on Hospital Dialysis Services in Brooklyn, New York Lin C, SUNY Downstate Medical Center, Brooklyn, NY

37

Disaster Preparedness in Michigan 2005 to 2012: Are We More Prepared? Belsky JB, Henry Ford Hospital, Detroit, MI

38

Evaluation of a Cell Phone-Based Mobile Medical Documentation System During Operation Black Swan Lezama N, Uniformed Services University of the Health Sciences, Bethesda, MD

39

Energy Audit of the MED-1 Mobile Hospital and Implications for Increased Efficiency in Mobile Health Care Delivery Noste EE, Carolinas Medical Center, Charlotte, NC

Education 40

Death in Simulation: Comparing the Stress to the Educational Value Geary SP, Albany Medical Center, Albany, NY

41

Introducing the Critical Care Direct Observation Tool: Building Validity Evidence for Direct Observation to Measure Emergency Medicine Milestones Schott ML, Stanford/Kaiser Emergency Medicine Residency, Stanford, CA

42*

Impact of Video Discharge Instructions from the Emergency Department in Regard to Caregiver Understanding of Their Child’s Fever and Closed Head Injury Ismail S, University of Florida College of Medicine, Jacksonville, FL

43

Timing of Medical Student Shift Evaluations Does Not Affect Scoring Hiller K, University of Arizona, Tucson, AZ

44

Exploring the Relationship Between the American Board of Emergency Medicine In-Training Exam Scores and Mandatory Didactic Attendance for Emergency Medicine Residents Ledrick D, Mercy St. Vincent Medical Center, Toledo, OH

45

28-day versus Calendar Month Rotations: Who Ends Up Working More? Stowell J, The University of Texas Medical School at Houston, Houston, TX

Diagnosis/Treatment 56*

D-dimer Testing in PERC-Negative Patients for the Diagnosis of Pulmonary Embolism Freund Y, Groupe Hospitalier Pitié-Salpêtrière, Paris, France

57

Time to Ultrasound and Emergency Department Discharge in LowRisk Patients With Suspected Deep Venous Thrombosis Dearing E, Northwestern University, Chicago, IL

58

Can the Modified Early Warning Score Be Utilized as a Screening Tool to Predict Development of Sepsis-Induced Tissue Hypoperfusion in the Emergency Department? Haddad S, North Shore University Hospital, Manhasset, NY

59

Unmet Legal Needs of Emergency Department Patients: A Novel Opportunity for Medical Legal Partnerships Testa P, NYU School of Medicine, New York, NY

60

Changes in the Clot Burden of Pulmonary Embolism as Diagnosed by Computed Tomography Angiography over a 10-Year Period Rolston DM, St. Luke’s - Roosevelt Hospital Center, New York, NY

61

Evaluation of C-Reactive Protein Levels in the Diagnosis of Acute Pulmonary Embolism Lisenbee NP, University of Florida, Gainesville, FL

Quality and Patient Safety 46*

Time of Emergency Department Arrival is an Inaccurate Measure of Time of Presentation of Patients With Severe Sepsis and Septic Shock Villar J, UCSF, San Francisco, CA

Volume 62, no. 4s : October 2013

Annals of Emergency Medicine A5

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd 62

Ultrasound of Internal Jugular Veins and Correlation to Pulmonary Edema in Emergency Department Patients a Double-Blinded Study Tzadokm BS, Emek Medical Center, Afula, Israel

77

63*

Treating Gastritis, Peptic Ulcer Disease, and Dyspepsia in the Emergency Department: The Feasibility and Patient Reported Outcomes of Testing and Treating for H. Pylori Infection Meltzer AC, George Washington University Medical Center, Washington, DC

Ultrasound

64

65†*

66

78

Perceptions of Transvaginal Ultrasound by Patients Being Evaluated in the Emergency Department for Complications of First Trimester Pregnancy Alghamdi A, University of Pennsylvania, Philadelphia, PA

79

INSPIRED (Instruction of Sonographic Placement of IVs by RNs in the Emergency Department): The Learning Curve for Peripheral IV Placement Liteplo AS, Massachusetts General Hospital, Boston, MA

80

Central Vascular Catheter Placement Evaluation Using Saline Flush and Bedside Echocardiography Keller SM, Carolinas Medical Center, Charlotte, NC

81*

Accuracy of Point-of-Care Ultrasound for Hydronephrosis in Patients With Suspected Renal Colic: A Look at Emergency Providers With Variable Ultrasound Experience Herbst M, Hartford Hospital, Hartford, CT

82

Needle Visibility During Ultrasound-Guided Procedures: Effect of Needle Modification and Scanning Techniques Eyre AJ, Brigham and Women’s Hospital, Boston, MA

83

Sustained Knowledge Acquisition Among Rwandan Physicians Participating in Six-Month Ultrasound Training Program Douglass ER, Massachusetts General Hospital, Boston, MA

84

A Comparison of Ultrasound-Guided to Landmark-Guided Arthrocentesis of Ankle, Elbow, and Wrist Lyon M, Georgia Regents University, Augusta, GA

85

The Utility of Cardiac Ultrasound in Pre-Clinical Medical School Curriculum Brackney A, William Beaumont Hospital, Royal Oak, MI

86

Traumatic Shock After Pediatric Head Injury Gardner A, Wake Forest Medical Center, Winston-Salem, NC

Can Bedside Sonography Replace Conventional Radiography for Confirmation of Above-the-Diaphragm Central Venous Catheter Placement? Gekle R, North Shore University Hospital, Manhasset, NY

87*

A Narrowed Decision Instrument for Selective Chest Radiography in Blunt Trauma Lanning J, UCSF/San Francisco General Hospital, San Francisco, CA

Comparative Assessment of Diagnostic Accuracy of Computed Tomography and Ultrasonography in the Diagnosis of Acute Appendicitis After the Application of the Alvarado Scoring System Cochon L, CEDIMAT, Santo Domingo, Dominican Republic

88*

A Survey of the Emergency Ultrasound Administrative Systems Within North American Emergency Ultrasound Fellowship Programs Shokoohi H, George Washington University, Washington, DC

Computed Tomography for Low-Risk Pediatric Patients: Impact of the 2009 Prediction Rule of the Pediatric Emergency Care Applied Research Network Chapman SW, University of Toledo Medical Center, Toledo, OH The Cost-Effectiveness Analysis of Video Capsule Endoscopy Compared to Other Strategies to Manage Acute Upper Gastrointestinal Hemorrhage in the Emergency Department Meltzer AC, George Washington University Medical Center, Washington, DC Comparing Rates of Clinical Deterioration Between Patients With Abnormal “Trigger” Vital Signs at Triage versus After Triage Huguenel C, Beth Israel Deaconess Medical Center, Boston, MA

Trauma 67*

Mandatory Health Care Insurance is Not Associated With Improved Mortality or ICU Length of Stay in Severely Injured Trauma Patients in Massachusetts Lee J, Massachusetts General Hospital, Boston, MA

68

Comparison of Quantitative EEG With Current Clinical Decision Rules for Head CT Utilization in Acute Mild Traumatic Brain Injury in the Emergency Department Ayaz SI, Wayne State University, Detroit, MI

69

70* 71

Patients’ Perspectives on Acceptable Risk for Computed Tomography in Trauma Henderson T, University of California - San Francisco, San Francisco, CA

72

Head CT for Minor Head Injury: Appropriateness and Early Results of a Quality Improvement Intervention in 6 Emergency Departments Ronan CE, Brigham and Women’s Hospital, Boston, MA

73

Evacuation of Critically Ill Combat Patients by Military Critical Care Air Transport Teams With a Restricted Transfusion Approach is Safe and May Have Higher Return-to-Duty Rates Bebarta VS, Air Force Enroute Care Research Center, San Antonio Military Medical Center, San Antonio, TX

74

75

76

NEXUS in the Alert, Elderly Fall Patient Pester J, St. Luke’s University Hospital, Bethlehem, PA

Injury Prevention 1 (intentional) 294

Poly-Arginine Compound Tested in a Murine Model for Frostbite Auerbach L, Stanford University School of Medicine, Stanford, CA

An Exploratory Study Comparing Ketamine v. Etomidate for Rapid Sequence Intubation in Traumatically Injured Patients Kadish J, St. Lukes University Hospital, Bethlehem, PA

10:45 - 11:45 AM POSTER PRESENTATIONS

Receptor-Interacting Serine/Threonine-Protein Kinase 3 (RIP-3) Expression in Normal and Burned Skin Singer AJ, Stony Brook University, Stony Brook, NY

Teaching Fellowship Abstracts

Implementation of a Tranexamic Acid Protocol in the Emergency Department Geyer BC, Brigham and Women’s Hospital, Boston, MA

A6 Annals of Emergency Medicine

TF-1†*EMF The Effect of CYP2D6 Drug-Drug Interactions on Hydrocodone

Efficacy Monte AA, University of Colorado, Aurora, CO

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd TF-2

An Innovative Adult-Learning Curriculum Merging Evidence-Based Medicine, Knowledge Translation, and Research Design Hess J, Emory University, Atlanta, GA

TF-3

Teaching to Teach: Techniques for Teaching in a Busy Emergency Department Brown S, Spectrum Health Butterworth Hospital, Grand Rapids, MI

TF-4

Asynchronous E-Learning Web Site for Off-Service Residents Rotating in the Emergency Department Williams SR, Stanford University, Stanford, CA

TF-5*

Competencies During Chaos: Life-Saving Performance of Patient Care Providers Using a Multi-Actor, Competency-Based Emergency Preparedness Curriculum Scott LA, Medical University of South Carolina, Charleston, SC

TF-6*

Task-Shifting Acute Care Services: A Curriculum to Train Emergency Community Health Workers Khan A, Stanford University Hospitals, Mountain View, CA

TF-7

*

TF-8

TF-9

96*

Evidence of Incremental Diagnostic Quality Gain in the Assessment of Pulmonary Embolism with Computed Tomography Angiography versus Ventilation Perfusion Scan Using Wells Score and Bayesian Statistical Modeling Cochon L, CEDIMAT, Santo Domingo, Dominican Republic

97

Overall Compliance and the Effect of Insurance on Outpatient Stress Testing as Part of an Accelerated Diagnostic Protocol for Low Risk Chest Pain Shiver S, Georgia Regents University, Augusta, GA

Diagnosis/Treatment 98

Is Triage Time a Valid Measure of “Time Zero” for Severe Sepsis and Septic Shock Patients in the Emergency Department? Haddad S, North Shore University Hospital, Manhasset, NY

99

Electrocardiogram Patterns as Predictors of Pulmonary Embolism Co I, University of Illinois-Chicago, Chicago, IL

100

Acute Cholecystitis: A Dischargeable Diagnosis? Lakoff D, Icahn School of Medicine at Mount Sinai/Elmhurst Hospital Center, Queens, NY

101†

Intraosseous Blood Correlates With Venous Blood in Healthy Subjects Using Point-of-Care Analyzers Montez DF, Vidacare Corporation, Shavano Park, TX

102

Repeat Abdominal Computed Tomography Influences Emergency Department Patient Diagnosis and Disposition Zwank MD, Regions Hospital, Saint Paul, MN

103

HemoCue versus Complete Blood Count for Hemoglobin Measurement in Adults With Vaso-Occlusive Crisis Due to Sickle Cell Disease Bursey M, Georgia Regents University, Augusta, GA

Real-Time Debriefing in the Emergency Department Nadir N, SUNY Downstate, Brooklyn, NY Learner Curriculum for Bedside Evaluation of Patients With Undifferentiated Hypotension Using the Rapid Ultrasound for Shock and Hypotension Exam Gable B, Summa Akron City Hospital, Akron, OH Crisis Resource Management Curriculum for Emergency Medicine Residents Using Simulation Parsons JR, Drexel University College of Medicine, Philadelphia, PA

TF-10

Procedure Simulation Cart O’Keefe K, East Carolina University, Greenville, NC

TF-11

Medical Knowledge Enabled High Fidelity Simulation: A Template for a Milestone-Based Resuscitation Skills Assessment Tool Cloutier RL, OHSU, Portland, OR

104- Withdrawn 105

Time to Treatment and Mortality in Acute Promyelocytic Leukemia Haq SM, MD Anderson Cancer Center, Houston, TX

106

Accuracy of Noninvasive and Invasive Point-of-Care Hemoglobin Measurement in the Emergency Department Wager A, University of Vermont, Burlington, VT

107

The Early Predictive Ability of Myoglobin versus Troponin in Patients Presenting to the Emergency Department With Suspected Acute Coronary Syndrome Nale J, North Shore University Hospital, Manhasset, NY

108

Subarachnoid Hemorrhage in the Emergency Department: A Systematic Review and Meta-Analysis of Diagnostic Accuracy in History, Physical Exam Findings, and Testing Hussain A, George Washington University, Washington, DC

Cardiology 89

90

EKG Voltage Changes in Cardiac Tamponade Locurto M, Hofstra-NSLIJ School of Medicine-Long Island Jewish Medical Center, New Hyde Park, NY Admission Rates for Emergency Department Patients With Congestive Heart Failure are Higher in the New York Metropolitan Area than Canada Graziano AA, Morristown Medical Center, Morristown, NJ

91

Prevalence and Patient Predictors in Outpatient Treatment of Venous Thromboembolic Disease Gibson Chambers J, University of New England, Biddeford, ME

92

The Evaluation of Two Chest Pain Risk Scores in Emergency Department Observation Patients Schrock JW, MetroHealth Medical Center, Cleveland, OH

93

Incidence of Hyperthyroidism Among Patients Presenting to the Emergency Department With Atrial Fibrillation Katz T, Christiana Care Health System, Newark, DE

94*

Maximum Helicopter Flight Distance that Allows Timely Percutaneous Coronary Intervention for ST-Segment Elevation Myocardial Infarction Patients Robinson DW, Western Michigan University School of Medicine, Kalamazoo, MI

95

Appropriate Use of Intravenous Antihypertensive Medications for Elevated Blood Pressure in the Emergency Department Arter A, Detroit Receiving Hospital, Detroit, MI

Volume 62, no. 4s : October 2013

Toxicology & Pharmacology 109EMF

Point-of-Care Testing in Setting of Nitromethane and Methanol Coingestion Will Not Mask True Creatinine, Anion Gap, or Osmolar Gap Cao D, Carolinas Medical Center, Charlotte, NC

110

Parenteral V. Oral Phytonadione Administration for WarfarinInduced Coagulopathy Salen P, St. Luke’s University Hospital, Bethlehem, PA

111

Physician Attitudes and Perceived Barriers to Prescribing Nasal Naloxone Rescue Kits in the Emergency Department Dwyer KH, Boston Medical Center, Boston, MA

112

Routine versus Comprehensive Drug of Abuse Screens in Emergency Patients With Psychiatric Complaints Rafi N, University of California San Diego, San Diego, CA

Annals of Emergency Medicine A7

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd 113

The Effects of Neutralization Therapy for Acute Alkali Ingestion in Rabbit Sun KM, Seoul National University Bundang Hospital, Gyeonggi-do, Korea

114†

Time to Antivenom Administration in Snakebite Gerardo CJ, Duke University Medical Center, Durham, NC

115

Ongoing Opioid Misuse Identification in the Emergency Department Using the COMM Instrument Compared to Clinician Judgment Varney SM, San Antonio Military Medical Center, San Antonio, TX

128

A Comparison of Urine versus Saliva Testing for Drug Exposure in an Emergency Department Population Kreshak A, UC San Diego, San Diego, CA

129

The Boarding Experience from the Patient Perspective: The Wait Liu SW, Massachusetts General Hospital, Boston, MA

131†

Creation of a Novel, Simplified Outcomes Prediction Model for 90day Outcomes in Acute Stroke: Creating an Implementable Decision Support Tool for Thrombolytic Therapy Spertus JA, Saint Luke’s Mid America Heart Institute, Kansas City, MO

132†EMF

Emergency Physicians Attitudes, Preferences, and Knowledge Regarding Computed Tomography Utilization, Radiation, and Imaging Decision Support Griffey RT, Washington University School of Medicine, BarnesJewish Hospital, St. Louis, MO

133

Risk Factors for Adult Emergency Department Discharge Failure: A Systemic Review Tran Q, Johns Hopkins University, Baltimore, MD

134*

Emergency Medicine Patient Satisfaction With Email Follow-Up Reminders Sharp BR, University of Wisconsin, Madison, WI

Emergency Medical Services 116

117

Out-of-Hospital Aspirin Administration for Acute Coronary Syndrome in the United States: An EMS Quality Assessment Using the NEMSIS (National EMS Information System) Database Tataris K, UCSF, San Francisco, CA Comparison in Effectiveness and Safety Between a Supraglottic Airway Device and Endotracheal Intubation in Out-of-Hospital Cardiac Arrest in The Netherlands Mulder PJ, Connexxion Ambulance Care, Apeldoorn, Netherlands

118

Risk Factors for Apnea in Pediatric Patients Transported by Paramedics for Out-of-Hospital Seizure Bosson N, Harbor-UCLA Medical Center, Los Angeles Biomedical Research Institute, Torrance, CA

135

Association of Patient, Operational, and Care Factors With Emergency Department Satisfaction in Dental Pain, Back Pain, and Headache Patients Morgan M, Regions Hospital, St. Paul, MN

119

First Medical Contact to Balloon Time in Out-of-Hospital Activation of the Catheterization Laboratory With and Without ECG Transmission Osborne AD, Emory University, Decatur, GA

136

Pediatric Emergency Department Discharge Failure: A Systemic Review of Risk Factors and Interventions Tran Q, Johns Hopkins University, Baltimore, MD

120

Dextrose 10% in the Treatment of Out-of-Hospital Hypoglycemia: Analysis of the Results of One EMS System Kiefer M, Highland Hospital - Alameda County Medical Center, Oakland, CA

121

Emergency Department Triage of Low Acuity Patients to a Federally Qualified Health Center Stone M, University of Mississippi Medical Center, Jackson, MS

123

Paramedics Believe Verbal Verification With a Team Mate Reduces Medication Errors More than Mental Verification Alone Misasi P, University of Maryland Baltimore County, Baltimore, MD

124

Targeted Intervention Reduces Use in Frequent Users of Emergency Medical Services Villar J, UCSF, San Francisco, CA

125

Out-of-Hospital Acute ST-Elevation Myocardial Infarction Identification in San Diego: A Retrospective Analysis on the Effect of Implementing a New Software Algorithm Coffey CH, University of California, San Diego Medical Center, San Diego, CA

Geriatrics 137*

GEDI WISE: Initial Effects on Admissions and Emergency Department Revisits Grudzen C, Icahn School of Medicine at Mount Sinai, New York, NY

138

Outcomes of a Pilot Senior Emergency Department Program Wilber ST, Summa Akron City Hospital, Akron, OH

139

Home Care for Emergency Department Elders: Out-Of-Pocket Costs Is a Major Barrier to Both Service Uptake and Continuation Toh ZJ, Tan Tock Seng Hospital, Singapore, Singapore

140

Improving Emergency Department Identification and Management of Agitated Delirium in Older Adults: Implementation and Impact Assessment of a Comprehensive Clinical Protocol Using an A-B-C-D-E-F Mnemonic Rosen T, New York-Presbyterian Hospital, New York, NY

141

Nonagenarian Patients With Acute Heart Failure in the Spanish Emergency Departments from the “Epidemiology of Acute Heart Failure in Emergency” Project Ferre C, Bellvitge Universitary Hospital, L’Hospitalet de Llobregat, Spain

142

The Emergency to Home Project: Impact of an Emergency Department Care Coordinator on Hospital Admission and Emergency Department Utilization Among Seniors Bond C, University of Calgary, Calgary, Alberta, Canada

143

Application of the New Orleans Head Computed Tomography Criteria to Patients Over the Age of 65 Monroe J, ECU Brody School of Medicine, Greenville, NC

Quality and Patient Safety 126*

Adequacy of Traditional Verbal Informed Consent versus PatientDirected Standardized Written Consent Wasserman A, New York Hospital Queens, Queens, NY

127

Emergency Department Crowding and Physician Inexperience are Synergistically Associated With Increased Physician Errors Dubin J, MedStar Washington Hospital Center, Washington, DC

A8 Annals of Emergency Medicine

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd 144

GEDI WISE: Geriatric Emergency Department Innovations in Care Through Workforce, Informatics, and Structural Enhancements Hwang U, Icahn School of Medicine at Mount Sinai, New York, NY

145*

Feasibility of Implementing a Focused Nursing Assessment for Geriatric Patients in the Emergency Department Dresden S, Northwestern University Feinberg School of Medicine, Chicago, IL

146

Analysis of Emergency Department Predictors for 30-day Geriatric Hospital Readmissions Williams T, Scott & White Hospital, Temple, TX

TF-14*

The “What If” Curriculum of Common Emergency Critical Care Procedures Bentley S, Elmhurst Hospital Center, Mount Sinai School of Medicine, New York, NY

TF-15

Advancing Palliative Medicine Education in the Emergency Department: Utilizing Simulation and Standardized Patients to Engage Modern Learners Siegel M, Temple University, Philadelphia, PA

TF-16*

Reflection Curriculum for Emergency Medicine Residents Haber JJ, Maimonides Medical Center, Brooklyn, NY

TF-17

Cardiac Emergencies, They’re Kinda a Big Deal: A Novel Approach to Resident Cardiology Core Content Education Series Wieters JS, Scott and White Hospital Texas A&M University COM, Temple, TX

TF-18

Teaching Toxicology With Simulation: A Model Curriculum for Emergency Medicine Nacca NE, SUNY Upstate Medical University, Syracuse, NY

TF-19

Teaching Medication Safety to EMS Fellows Gilmore WS, Washington University, Saint Louis, MO

TF-20

Advanced Test-Taking Strategies for Emergency Medicine Residents Clements CM, Mayo Clinic, Rochester, MN

TF-21

A Framework to Improve Critical Thinking and Pattern Recognition for Common Emergency Department Patient Presentations Smith BC III, University of Tennessee, Chattanooga, TN

Health Care Policy 147*

Seeking a Second Opinion: Use of the Same versus a Different Hospital for Patients Requiring Recurrent Emergency Department Visits Rising KL, University of Pennsylvania, Philadelphia, PA

148†EMF

Association Between Health Insurance Type, Arrival Time, and Primary Care-Treatable Emergency Department Visits in the United States Pukurdpol P, University of Colorado Denver, Aurora, CO

149*

An Evaluation of British Columbia’s Emergency Department Pay-for-Performance Program on Emergency Department Length of Stay: A Preliminary Analysis Cheng AHY, St. Michael’s Hospital, Toronto, Ontario, Canada

150

Emergency Physician Computed Tomography Utilization and Admission Rates Moore AB, Virginia Tech Carilion School of Medicine, Roanoke, VA

Health Care Policy 156*

The Impact of a Protocol-Driven Emergency Department Observation Unit on Prolonged Inpatient Observation Stays Lowe S, Emory University, Atlanta, GA

157

The Persistent Emergency Department Superuser: Defining a Population to Target Limited Resources Peabody CR, LAC + USC Department of Emergency Medicine, Los Angeles, CA

151

The Effect of Change in Insurance Status on Emergency Department Utilization: A Systematic Review Moore PQ, Stroger Cook County, Chicago, IL

152†

Projecting the Impact of a Proposed State Policy to Deny Payment for Emergency Department Visits Lowe RA, Oregon Health & Science University, Portland, OR

158*

Medical Liability Reform Does Not Affect the Number of Physicians in a State Hoper SA, Washington University in St. Louis, St. Louis, MO

Variation in Charges for Emergency Department Visits in California Ravikumar D, University of California, San Francisco, San Francisco, CA

159

Emergency Physician Variation in Admissions for Common Chief Complaints Levine MB, Virginia Tech Carilion School of Medicine, Roanoke, VA

160

New Metrics to Identify the Emergency Department Super User: Thinking Beyond the Number of Emergency Department Visits Dorner S, Vanderbilt University Medical Center, Nashville, TN

161

Effect of a Systems-Based Approach on Reducing Emergency Department Use in an Integrated Health System Isenberger KM, Regions Hospital, St. Paul, MN

162

U.S. Hospital Variation in Outpatient Treatment of Venous Thromboembolic Disease, 2010 Gibson Chambers J, University of New England, Biddeford, ME

163

Cost Savings Associated With Transfer of Trauma Patients Within an Accountable Care Organization Geyer B, Brigham and Women’s/Mass. General Hospitals, Boston, MA

164*

Patient Returns to the Emergency Department: The time-to-Return Curve Rising KL, University of Pennsylvania, Philadelphia, PA

153

154

Patients Sent to the Emergency Department by Advanced Health Care Providers are More Likely to Need Admission Groner K, Christiana Care Health Systems, Newark, DE

155*

Emergency Department Visits for Ambulatory Care Sensitive Conditions: The Role of County-Level Primary Care Provider Density and Payer Status Terp S, Keck School of Medicine, University of Southern California, Los Angeles, CA

2:30 - 4:00 PM POSTER PRESENTATIONS Teaching Fellowship Abstracts TF-12*

Quality Improvement: Emphasizing the Importance and Developing a Curriculum Shaver EB, West Virginia University, Morgantown, WV

TF-13

Hemorrhage Control Educational Module for Tactical Law Enforcement Officers Fedor PJ, University of Texas Southwestern, Dallas, TX

Volume 62, no. 4s : October 2013

Annals of Emergency Medicine A9

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd Infectious Diseases 165†

Assessing the Need for Acute HIV Testing in the Emergency Department Moreno-Walton L, Louisiana State University Health Sciences Center- New Orleans, New Orleans, LA

182

Application of a Head CT Decision Rule in Elderly Fall Patients With Baseline Mental Status Triaged to the Trauma Bay Pester J, St. Luke’s University Hospital, Bethlehem, PA

Pediatrics

166

An Emergency Department Sepsis Alert is Associated With Decreased Mortality in Septic Patients Admitted to the Intensive Care Unit Manteuffel J, Rivers E, Henry Ford Hospital, Detroit, MI

183

The Role of Limited Head CT in the Evaluation of Pediatric Ventriculoperitoneal Shunt Malfunction Park D, Medical University of South Carolina, Charleston, SC

167

Vancomycin Use in Patients Discharged from the Emergency Department Mueller K, Barnes Jewish Hospital, St. Louis, MO

184

A Six-Year Retrospective Review of Pediatric Firearm Injuries Hendry PL, University of Florida College of Medicine/ Jacksonville, Jacksonville, FL

168

The Implementation of Opt-In Rapid HIV Testing in an Urban Emergency Department Cirone MV, Loyola Stritch School of Medicine, Maywood, IL

185

169

Computerized Provider Order Entry Increases Weight-Based Dosing Compliance With Vancomycin Prescribing in the Emergency Department Levine BJ, Christiana Care Health System, Wilmington, DE

A Prospective, Multicenter Study of Factors Affecting the Emergency Department Length of Stay of Pediatric Patients: Does the Diagnosis, Especially Psychiatric Diagnosis, Matter? Mace SE, Cleveland Clinic Foundation, Cleveland, OH

186

Effect of Provider Type and Sex on Empiric Treatment of Sexually Transmitted Infections in Adolescent Emergency Department Patients Jones JS, Spectrum Health Hospitals/Michigan State University, Grand Rapids, MI

187

Hematuria is Almost Always Seen in Pediatric Patients Presenting to the Emergency Department With Urolithiasis Dieter M, Morristown Medical Center, Morristown, NJ

188

The Safety of Discharge of Pediatric Patients With Peripheral IV Catheter in Place Until Time of Follow-Up VanderKooy TO, University of Michigan/St Joseph Hospital, Ann Arbor, MI

189

Diagnostic Characteristics of Abdominal Radiographs Intussusception Hom J, Stony Brook University School of Medicine, Stony Brook, NY

190

IV Access Delay in Neonatal Severe Sepsis Remains Common Kelly JJ, Einstein Medical Center Philadelphia, Philadelphia, PA

191

Childhood Obesity: Assessing the Parents’ Perceptions of Children’s Weight as a Health Risk Josephson E, Lincoln Medical & Mental Health Center, Bronx, NY

192

Ovarian Torsion in Pediatric Patients: A Review of Eleven Years’ Experience Rudser AKE, Children’s Hospitals and Clinics of Minnesota, Minneapolis, MN

170†*

171

Characteristics of Patients Who Accept and Decline Emergency Department Rapid HIV Testing Schechter-Perkins EM, Boston University School of Medicine, Boston, MA The Microbiology of Necrotizing Fasciitis and Associated Mortality in an Urban Environment Burke GV, University of Southern California, Los Angeles, CA

Trauma 172

Soft Tissue Assessment of Acute Trauma Patients Using a New Novel Non Invasive Device Rosenberg MS, Orlando Health, Orlando, FL

173

Face Trauma is a Predictor of Cervical Spine Injury in Elderly Fall Patients Who Meet Trauma Alert Criteria Pester J, St. Luke’s University Hospital, Bethlehem, PA

174

Closed Reduction of Distal Radius Fractures: Is Finger Trap Traction Superior to Manual Traction? Holkenborg J, Rijnstate Hospital, Arnhem, Netherlands

175*

Determining the Utility of Metabolic Acidosis in Trauma Patients Caputo N, Lincoln Medical and Mental Health Center, Bronx, NY

176

Decreased Imaging Use Associated With Transfer of Trauma Patients Within an Accountable Care Organization Geyer B, Brigham and Women’s/Mass. General Hospitals, Boston, MA

177

A Population-Wide Study of Pediatric Access to Trauma Centers in California, 2005-2011 Vogel L, Stanford School of Medicine, Stanford, CA

178

Do Repeat Head CT Scans After Blunt Head Trauma Change Management in the Pediatric Patient? Murray BL, Children’s Hospital Boston, Boston, MA

179

Cervical Immobilization in the Emergency Department: Duration and Patient Understanding of Its Indications Adams AC, Stony Brook University, Stony Brook, NY

180

Predictors of Traumatic Intracranial Injury in Elderly Fall Patients Meeting Trauma Alert Criteria Pester JM, St Luke’s University Hospital, Bethlehem, PA

181

Is a Routine Pelvic X-Ray Needed for Blunt Trauma Patients Undergoing Further Imaging? Johnston T, University of Louisville, Louisville, KY

A10 Annals of Emergency Medicine

for

Public Health 193

Clinical and Demographic Characteristics Associated with Opioid Overdose Visits to United States Emergency Departments Yokell MA, Stanford University School of Medicine, Stanford, CA

194

A Novel Way to Evaluate Health Care Utilization Characteristics of Intimate Partner Violence Victims Hoelle R, University of Florida, Gainesville, FL

195EMF

Healthy Neighborhoods and the Emergency Department: Is Neighborhood Healthy Food Availability Associated With Emergency Department Presentations for Diet-Related Illness? Westgard B, HealthPartners, Regions Hospital, MinneapolisSaint Paul, MN

196

Increasing Prevalence of Adult-Onset Diabetes Mellitus in Patients Seeking Care in the Emergency Department Sterling SA, University of Mississippi Medical Center, Jackson, MS

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 MONDAY, OCTOBER 14, 2013 —cont'd 197

Quality Improvement in Physician Disclosure and Linkage to Care of Those Newly Diagnosed with HIV in an Urban Level I Trauma Center Emergency Department Performing Universal Screening Scribner JT, John Peter Smith Health Network, Fort Worth, TX

198

Factors Associated With Peri-Assault Loss of Consciousness Among Sexual Assault Survivors in the Emergency Department: A 10-Year Experience Kintzer E, North Shore University Hospital, Manhasset, NY

199

Suspect and Officer Injuries Associated With Modern Police Use of Force Bozeman WP, Wake Forest University, Winston Salem, NC

200

Incorporating a Community Referral Coordinator in the Emergency Department Improves Community Health Center Follow-Up for Discharged Patients Nall C, Washington University School of Medicine, Barnes-Jewish Hospital, Saint Louis, MO

201

Why Does Influenza-Like Illness Surveillance Miss True Influenza Cases in the Emergency Department?: Implications for Health Care Providers Rumoro DP, Rush University Medical Center, Chicago, IL

202

The Emergency Department as a Platform for Tobacco Cessation Utilizing Pre-Health Professional Students as Research Associates Dalawari P, Saint Louis University School of Medicine, Saint Louis, MO

Respiratory 1 (Airway) 203

Comparison of GlideScope Video Laryngoscopy to Direct Laryngoscopy for Intubation of Pediatric Patients in the Emergency Department Sakles JC, University of Arizona, Tucson, AZ

204

Determination of Accuracy in Emergency Department Dosing for Rapid Sequence Intubation Ashbaugh HH, University of Florida COM/J Jacksonville, FL

205

Development and Validation of the Performance of Airway Management Instrument for Paramedics Terndrup T, The Pennsylvania State University College of Medicine, Hershey, PA

206

Combined Ketamine and Propofol Sedation versus Propofol Sedation for Emergency Department Procedures: A Prospective Randomized Trial Sawas A, University of Utah, Salt Lake City, UT

207

A Comparison of the Reusable Standard GlideScope to the Disposable Cobalt GlideScope Sakles JC, University of Arizona, Tucson, AZ

208

209

Failed First Attempt Intubations in the Emergency Department: Efficacy of Video Laryngoscopy as Rescue Device Javedani PP, University of Arizona, Tucson, AZ Trauma Intubation Protocol Success Before and After Acquisition of Video Laryngoscopy Carter E, University of Connecticut, Farmington, CT

Ultrasound 210

Point-of-care Ultrasound Use Over Six-Month Training Period in Rwandan District Hospitals Henwood PC, Massachusetts General Hospital, Boston, MA

211

Can Emergency Physicians Accurately Identify Complex Abnormalities on Point-of-Care Echocardiogram? Adhikari S, University of Arizona Medical Center, Tucson, AZ

212

Use of Multimedia for Resident Education in Aorta Ultrasound Rohra A, New York Hospital Queens, New York, NY

Volume 62, no. 4s : October 2013

213

The Portal Research Network: Defining the Learning Curve of Emergency Medicine Resident Point-of-CareTrainees Bailitz J, Cook County Hospital, Chicago, IL

214

Predicting Fluid Responsiveness in Sepsis by Echocardiographic Evaluation Balk AH, New York Methodist Hospital, Brooklyn, NY

215

The Use of a Novel Device Compared to Traditional Approaches for Pericardiocentesis in a Cadaveric Model by Emergency Medicine Residents Friedman TA, Carl R. Darnall Army Medical Center, Fort Hood, TX

216

Emergency Ultrasound Fellowship Training: A Novel Team-Based Approach Adhikari S, University of Arizona Medical Center, Tucson, AZ

217

Emergency Department versus Radiology Department Pelvic Ultrasound and Effect on Patient Length of Stay: A Randomized Control Trial Bertoglio K, University of California, Irvine, Orange, CA

218*

Pilot Study: Ejection Fraction Estimation by Emergency Medicine Residents Using Limited Bedside Echocardiography in the Emergency Department Nguyen N, St. Luke’s Roosevelt, New York, NY

219*

Accuracy of Suprasternal Notch View Using Focused Cardiac Ultrasound to Evaluate Aortic Arch Measurements Kinnaman KA, Brigham and Women’s Hospital, Boston, MA

220

A Survey of Emergency Physician Use of Bedside Ultrasound in North Carolina Noste EE, Carolinas Medical Center, Charlotte, NC

Infectious Diseases 422EMF

The Host Response to Line Sepsis: Experimental and Computational Analysis of Complement Activation Against Coagulase-Negative Staphylococcal Biofilms Conrad E, University of Michigan, Ann Arbor, MI

TUESDAY, OCTOBER 15, 2013 9:30 - 11:30 AM POSTER PRESENTATIONS Quality and Patient Safety 221

Patients’ Perceptions of Waiting Times and the Effect on Patient Satisfaction in the Emergency Department Saxon K, University of Michigan, Ann Arbor, MI

222

Initial Patient Evaluation of Physicians, Based on Attire Burgess A, University Hopsitals Case Medical Center, Cleveland, OH

223

Differences Between Actual Arrival Time and Triage Time in an Urban, Academic Emergency Department Houston C, Beth Israel Deaconess Medical Center, Boston, MA

224

Utility of Blood Cultures for Discharged Patients in the Emergency Department Roque PJ, Maricopa Medical Center, Phoenix, AZ

225

Mechanical and Thrombotic Complication Rates for Central Line Insertion in Emergency Medicine: A Multi-Center Cohort Study Wright SW, University of Cincinnati, Cincinnati, OH

226

Central Line- Associated Blood Stream Infection Rates in Emergency Medicine: A Multi-Center Cohort Study Wright SW, University of Cincinnati, Cincinnati, OH

Annals of Emergency Medicine A11

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 227

Rapid Response Team Activations Within 24 Hours of Admission from the Emergency Department: An Innovative Approach for Performance Improvement Lovett PB, Thomas Jefferson University, Philadelphia, PA

228*

Mind the (Knowledge) Gap: The Effect of a Communication Tool on Emergency Department Patients’ Comprehension of and Satisfaction With Care Sharp BR, University of Wisconsin, Madison, WI

229

Implementing a Trigger Tool Adverse Event Analysis in an Emergency Out-of-Hospital Setting Ducassé J, Hôpitaux de Toulouse, Toulouse, France

230*

Characteristics of Patients Leaving an Emergency Department Against Medical Advice: Analysis of a National Database Peterson T, University of Alabama at Birmingham, Birmingham, AL

231*

Is There a Correlation between Emergency Department Crowding Measures and Acute Myocardial Infarction Mortality? Khare R, Northwestern University, Chicago, IL

243

Pocket-Sized Ultrasound in the Emergency Department: Is Smaller Better? Moak JH, University of Virginia, Charlottesville, VA

244

The Changes of the Guardians’ Demands for Computed Tomography Before and After Explanation About the Risk and Benefit in Pediatric Minor Head Injury Patients Sun KM, Seoul National University Bundang Hospital, Gyeonggido, Korea

245

Rescue Vascular Access in the Emergency Department Thom CD, Thomas Jefferson University, Philadelphia, PA

246

Performance Improvement Project to Ensure Follow-Up for Repeat Lower Extremity Ultrasound Examinations Patel G, North Shore University Hospital, Manhasset, NY

247

Accuracy of Airway Ultrasound for Confirmation of Endotracheal Intubation by Expert and Novice Emergency Physicians Gottlieb M, Cook County Hospital, Chicago, IL

248

Use of a Simulation Model as an Adjunct for Transvaginal Emergency Ultrasound Teaching and a Novel Evaluation Tool to Assess Competency Corujo O, New York Hospital Queens, Flushing, NY

249

Comparison of the AMI 9700 Aorta Scanner to Computed Tomography Imaging for Abdominal Aortic Diameter Measurement Bramante R, North Shore University Hospital, Manhasset, NY

250*

The Role of Emergency Ultrasonography in Cardiopulmonary Resuscitation Matsuoka Y, Kobe City Medical Center General Hospital, Kobe, Japan

Diagnosis/Treatment 232

233

A Comparison of Confirmed Intrauterine Pregnancy by Ultrasound in Patients With Vaginal Bleeding in Early Pregnancy With HCG Levels Above and Below 2000 Smith T, St Lukes University Health Network, Bethlehem, PA Overuse of Laboratory Testing in Symptomatic First Trimester Pregnant Patients in the Emergency Department Geyer BC, Brigham and Women’s Hospital, Boston, MA

234

Increased Body Mass Index Among Women Correlates With Increased Rates of Urine Contamination Zwank MD, Regions Hospital, Saint Paul, MN

235

Does This Patient Have Pericardial Effusion? Stolz L, University of Arizona Medical Center, Tucson, AZ

236*

Alternative Diagnoses With Systematic Low Dose Unenhanced Computed Tomography in the Emergency Department for Uncomplicated Renal Colic: A Prospective Study Freund Y, Group Hospitalier Pitié-Salpêtrière, Paris, France

237*

Clinical Predictors of the Underlying Cause of Instability in the Emergency Department Henning DJ, Beth Israel Deaconess Medical Center, Boston, MA

238*

The Effectiveness of End Tidal Carbon Dioxide as an Indicator for Improvement of the Metabolic Acidosis Patient Kim GB, National Health Insurance Service ILSAN Hospital, Goyang-Si, Gyeunggi-Do, Korea

239

Chest X-ray Yield in Patients With Isolated Chest Pain: Derivation of a Decision Rule Newsom C, St. Luke’s University Hospital, Bethlehem, PA

240*

Characteristics of Emergency Department Patients With Diabetic Ketoacidosis: Assessing the Yield of Diagnostic Laboratory Testing for Identification of Episode Precipitants Terp S, Keck School of Medicine, University of Southern California, Los Angeles, CA

241

Management of Benign Paroxysmal Positional Vertigo: A Randomized Control Trial Burmeister DB, Lehigh Valley Hospital, Allentown, PA

Ultrasound 242

Three-Window Bedside Ultrasound versus Chest X-Ray for the Confirmation of Endotracheal Tube Placement Fox C, UC Irvine, Orange, CA

A12 Annals of Emergency Medicine

Pain Management 251

Characteristics of “Doctor-Shopping” Patients in the Emergency Department Weiner SG, Tufts Medical Center, Boston, MA

252

Prescription Opioid Misuse is Common Among Emergency Department Patients Discharged With Opioids Straube ST, The Warren Alpert Medical School of Brown University, Providence, RI

253

Patients Using an Automated Pain Tracker Device in the Emergency Department are More Likely to Receive Analgesia Brown L, University of Oklahoma School of Community Medicine, Tulsa, OK

254†

The Effect of Vapocoolant Spray on Pain in Adults Undergoing Peripheral Intravenous Line Placement in the Emergency Department: Preliminary Results of a Randomized, Blinded, Placebo-Controlled Trial Mace S, The Cleveland Clinic, Cleveland, OH

255

Pain, Expectations of Pain Relief, and Opioid Misuse Among Emergency Department Patients Lopez JJ, Alpert Medical School, Providence, RI

256

Arterial Puncture Using Insulin Needle Is Less Painful Than Standard Needle: A Randomised Crossover Trial Yau Y, National University Hospital Systems, Singapore, Singapore

257

Association Between Race and the Administration of Analgesia in an Academic Tertiary Care Center Emergency Department, 2007-2011 Dickason M, Saint Louis University School of Medicine, Saint Louis, MO

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 273

Validating Health Information Exchange Data for Quality Measurement Shapiro JS, Icahn School of Medicine at Mount Sinai, New York, NY

Globalization of Emergency medicine Research: Perspective from Publications in Emergency Medicine Journals, 1991-2012 Lee C-H, Chang Gung Memorial Hospital, Keelung, Taiwan

274

259

Printer Alarm for Notification of Time-Sensitive Results Hoot N, University of Texas Health Science Center at Houston, Houston, TX

A Short Trauma Course for Physicians in a Resource-Limited Setting: Is Low-Cost Simulation Effective? Mackey J, Brown University, Providence, RI

275*

260*

The Effect of Clinical Decision Support on Adherence to EvidenceBased Guidelines for CT in Mild Traumatic Brain Injury in the Emergency Department Gupta A, Brigham & Women’s Hospital, Harvard Medical School, Boston, MA

Can We Appropriately Triage Emergency Patients Using the Simplified Japan Triage and Acuity Scale-Based Triage Scale?: Validation of a Triage Scale Emphasizing Physiologic Variables or Mechanism of Injuries Funakoshi H, Noguchi Hideyo Memorial Hospital, Urayasu, Japan

261

Mobile-Application-Based HIV Intervention: An Opt-In Approach to Promote Rapid HIV Screening in an Inner-City Emergency Department Shahkolahi MM, Howard University Hospital, Washington, DC

Informatics 258

262*

Incidence of Speech Recognition Errors in the Emergency Department Goss FR, Tufts Medical Center, Boston, MA

263*

A Novel Electronic Medical Record-Based Screening Alert Successfully Identifies Patients With Severe Sepsis Krieger P, Beth Israel Medical Center, New York City, NY

264*

Attitudes Toward Text Messaging as a Form of Patient Follow-Up in an Emergency Department Miller M, University of Iowa, Iowa City, IA

265*

Cluster Analytics Identifies Distinct Profiles of Children With Clinically Important Brain Injury Radecki RP, The University of Texas Health Science Center at Houston, Houston, TX

Public Health An Operational Analysis of Integrating Screening and Brief Intervention into the Normal Workflow of the Emergency Department Without Additional Resources Venkat A, Allegheny General Hospital, Pittsburgh, PA

276

Withdrawn

277 278

*

“From the ED2PMD”: A Text Messaging Program to Connect Adolescents to a Health Home Malbon KM, Mount Sinai Adolescent Health Center, New York, NY

279

Ultra-Low Cost Uterine Balloon Tamponade Package for Postpartum Hemorrhage Control Among Health Providers in Kenya Burke TF, Massachusetts General Hospital, Boston, MA

280

Health-Related Behavior of Patients Presenting to an Urban Emergency Department Kwon NS, NYU School of Medicine/Bellevue Hospital Center, New York, NY

281

Exploratory Study of Emergency Physicians’ Use of a Prescription Drug Monitoring Program Using a Framework of Technology Acceptance Wattana MK, MD Anderson Cancer Center, Houston, TX

282

Cost Effectiveness Analysis of Non-Invasive Ventilation for Chronic Obstructive Pulmonary Disease Respiratory Failure in a Low Income Country (India) When ICU is Not Available Saab R, St. John Hospital and Medical Center, Detroit, MI

The Association Between Patient Demographics and the Acceptance of Routine HIV Screening in the Emergency Department Acerra J, Long Island Jewish Medical Center, New Hyde Park, NY

283

268*

Is the Broselow Tape Valid in South Sudan, “The Hungriest Place on Earth”? Clark MC, Harbor-UCLA Medical Center, Torrance, CA

Implementing a Diversion Clinic to Treat Lower-Acuity Emergency Department Patients and Provide Follow-Up Care Lansburg JM, Banner Health, Phoenix, AZ

284

269

The SODIS Water Disinfection Technique Using Materials Available to Wilderness and Backcountry Travelers: A Pilot Study Peterson SE, New York Presbyterian Hospital, New York, NY

Knowledge, Beliefs, and Attitudes of Emergency Department Health Care Providers Towards Hepatitis C and Rapid Hepatitis C Testing Rotte M, Thomas Jefferson University, Philadelphia, PA

270

Acclimatization of Biometric Parameters at Elevation Do Not Differ between Endurance Athletes and the General Population Wang J, Christiana Care Health System, Newark, DE

266*

The Impact of a Health Information Exchange on Resource Use and Medicare-Allowable Charges at Eleven Emergency Departments Operated by Four Major Hospital Systems in a Midsized Southeastern City: An Observational Study Using Clinician Estimates Saef SH, Medical University of South Carolina, Charleston, SC

International/Global 267

271*

Understanding the Emerging Role of Ultrasound in Colombian Emergency Medicine Residency Training Henwood PC, Brigham and Women’s Hospital, Boston, MA

272

The Effect of Geography and Demography on Outcomes of Emergency Department Patients in Rural Uganda Tiemeier K, Emory University School of Medicine, Atlanta, GA

Volume 62, no. 4s : October 2013

Emergency Medical Services 122

Emergency Medical Service Provider Hand Washing Practices Bucher J, UMDNJ - RWJMS, New Brunswick, NJ

285

A Length-Based Pediatric Tape: Its Effect on Dosage Accuracy and Time to Medication Delivery in the Out-of-Hospital Setting in the National Park Service Campagne D, UCSF-Fresno Fresno, CA

286*

Effect of EMT Sex on Out-of-Hospital Patient Care Slivka R, New York Hospital Queens, Flushing, NY

Annals of Emergency Medicine A13

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 287

Pilot Survey of Components of Emergency Medical Services Emergent Handoffs Lindsay LP, University of Alabama at Birmingham, Birmingham, AL

302

Estimating Weights Using the Broselow Tape in Korea: Comparison of Old and New Versions of the Broselow Tape Use Suh D, Seoul National University College of Medicine, Seoul, Korea

288

Chart Analysis of Frequency and Complications from Intraosseous Infusion in Out-of-Hospital Pediatric and Adult Populations Fenchel DD, Mayo Clinic, Rochester, MN

303

Development and Validation of the Korean Pediatric Emergency Care Applied Research Network Diagnosis Grouping System Lee JH, Seoul National University Bundang Hospital, Korea

289

Resource Utilization and Out-of-Hospital Treatment of Pediatric Patients in Northern West Virginia Paulson D, West Virginia University, Morgantown, WV

304

290*

Comparison of Three Scoring Systems to Predict Mortality of Unstable Upper Gastrointestinal Bleeding in Cirrhotic Patients Chen C-Y, Linkou Chang Gung Memorial Hospital, Taoyuan County, Taiwan

Comparison of Pediatric Emergency Medicine Attending Physician to Emergency Medicine Attending Physician Chest X-Ray Utilization in Pediatric Patients With Acute Wheeze Avarello J, Cohen’s Children’s Center, New Hyde Park, NY

305

Pediatric Out-of-Hospital Electrical Cardiotherapy in the State of Michigan Singh M, GRMEP, Grand Rapids, MI

306

Management of Pediatric Concussion Patients by Emergency Physicians Kinnaman KA, Brigham and Women’s Hospital, Boston, MA

307

A Comparison of Length of Stay Between Admitted and Discharged Pediatric Patients in the Emergency Department Barata IA, North Shore University Hospital, Manhasset, NY

308

The Utility and Accuracy of Skype in Viewing Computed Tomography Images from a Remote Facility for the Diagnosis of Appendicitis in Pediatrics Akhavan M, Cohen Children’s Medical Center, New Hyde Park, NY

309†

Implications of Extreme Leukocytosis in Young Children Treated in Urgent Care Zlotnick D, TEREM- Emergency Medical Centers, Jerusalem, Israel

310

Does Obesity Education Have a Role in the Emergency Department? Waseem M, Lincoln Hospital, Bronx, NY

291

Comparison of Direct versus Video Laryngoscopy for Tracheal Intubation in Aeromedical Transport Patients Gould R, University of Washington, Seattle, WA

292

Emergency Medical Services Procedures Performed on Pediatric Patients Muñiz A, Dallas Regional Medical Center, Mesquite, TX

1:00 - 2:30 PM POSTER PRESENTATIONS Injury Prevention 1 (intentional) 293

A Qualitative Study of the Boston Medical Center Violence Intervention Advocacy Program: Understanding the Progression of the Client/Advocate Relationship James TL, Boston Medical Center, Boston University School of Medicine, Boston, MA

Injury Prevention 2 (unintentional) 295

The Impact of State-Level Graduated Driver Licensing Policy on Rates of Unlicensed Driving and Passenger Restraint Use: Can Stricter Legislation Foster a Culture of Safety? Fu J, Yale University School of Medicine, New Haven, CT

296

What Contributes to Subject and Officer Injuries During Law Enforcement Use of Force Events? Castillo EM, University of California, San Diego, San Diego, CA

297

Sex Differences in Emergency Department Patient Mechanical Fall Risk and Openness to Communication with Providers Greenberg MR, Lehigh Valley Hospital, Allentown, PA

298

Modified CAGE as a Screening Tool for Mechanical Fall Risk Assessment: A Pilot Survey Greenberg MR, Lehigh Valley Hospital, Allentown, PA

299

Injury Patterns of Mixed Martial Arts Athletes in the United States Ross DJ, University of Illinois College of Medicine at Peoria, Peoria, IL

300

Occupational Deaths Due to All-Terrain Vehicle and Utility Vehicle Use in Iowa Jennissen CA, University of Iowa College of Medicine, Iowa City, IA

Pediatrics 301

Factors Associated with Length of Stay in Pediatric Patients in the Emergency Department Barata IA, North Shore University Hospital, Manhasset, NY

A14 Annals of Emergency Medicine

Cardiology 311†

Real-Time Use of a Chest Pain Risk Stratification Clinical Decision Rule: A Cautionary Tale Mahler SA, Wake Forest School of Medicine, Winston Salem, NC

312

Are One-Day Admissions Better than Emergency Department Observation in Syncope Patients? Volz KA, Beth Israel Deaconess Medical Center, Boston, MA

313

Identification of Characteristics of Adult Patients in the Emergency Department Who Develop Ventricular Tachycardia or Ventricular Fibrillation During Hospital Stay Garg N, New York Hospital Queens, Flushing, NY

314

Evaluation of Adverse Outcomes in Syncope: A Comparison of the Boston, San Francisco, and Osservatorio Epidemiologico Sulla Sincope Nel Lazio Clinical Prediction Rules Nunez A, Lutheran Medical Center, Brooklyn, NY

315

Association of Time at First Myocardial Infarction and High-Density Cholesterol Levels Koo TS, St. Luke’s-Roosevelt Hospital, New York, NY

316

Can GRACE Score Reduce Cardiac Testing in Low-Risk Chest Pain Patients? Domanski K, JPS, Fort Worth, TX

317*

Successful Implementation of Proactive Rounding by a Rapid Response Team in a Tertiary, Academic, Level 1 Trauma Center Reduces Inpatient Cardiac Arrests and Facilitates Preemptive Transfer to a Higher Level of Care Guirgis FW, University of Florida, Jacksonville, FL

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 318

319

†*

Hemodynamic Profiles of Emergency Department Patients With Acute Heart Failure and Their Association With Treatment Singer AJ, Stony Brook University, Stony Brook, NY

335

Hemodynamic Effects of Nitroglycerin Ointment in Emergency Department Patients With Symptoms of Acute Heart Failure Mumma BE, UC Davis, Sacramento, CA

Resident Comfort and Confidence in Live Animal and Simulation Training Models for Transvenous Pacemaker Placement Reynolds BZ, Georgia Regents University, Augusta, GA

336

Learner-Centered Educational Technology to Advance Head CT Scan Interpretation by Emergency Medicine Residents Pourmand A, George Washington University, Washington, DC

337*

Switching Conferences from Lecture to Small Group Discussion: Does It Impact Residents’ Learning? Lind KR, Maimonides Medical Center, Brooklyn, NY

338

Documentation Templates for Clinical Encounters Improves Medical Student Performance of USMLE Step 2 CS Essential Actions on an Objective Structured Clinical Exam Gaeta T, NY Methodist Hospital, Brooklyn, NY

339*

Evaluation of Volume Status by Bedside Ultrasound of the Inferior Vena Cava: Effectiveness of a Brief Educational Intervention Heller MB, Beth Israel Medical Center, New York, NY

340

Patient Perception of the Role of Medical Students in Their Care in the Emergency Department Lopez BL, Jefferson Medical College, Philadelphia, PA

341*

Understanding Medical Students’ Struggles to be a Doctor in the Emergency Department Theyyunni N, University of Michigan, Ann Arbor, MI

342*

Air Medical Curricula in Emergency Medicine Residencies Savino PB, Western Michigan University School of Medicine, Kalamazoo, MI

343

Incentive for Conference Attendance in an Academic Faculty Druck J, University of Colorado, Aurora, CO

Trauma 320

Emergency Department Disposition of Patients Diagnosed With Rib Fracture Kirch M, West Virginia University, Morgantown, WV

321

Tactical Study of Care Originating in the Out-of-Hospital Environment (TACSCOPE): Out-of-Hospital Application of Predictor Guidelines for Massive Transfusion and Survival Gerhardt RT, Brooke Army Medical Center/US Army Institute of Surgical Research, Fort Sam Houston, TX Evaluation for Ohio’s Geriatric Specific Trauma Triage Criteria: Assessing Implementation and Improvement in Outcomes for Ohio’s Elders Ichwan B, Ohio State University Medical Center, Columbus, OH

322

323*

Clinically Significant Occult Injuries are Rare on Advanced Chest Imaging Villar J, UCSF, San Francisco, CA

324

The Value of Neurocognitive Testing for Acute Traumatic Brain Injury Ganti L, University of Florida, Gainesville, FL

325

A Clinical Rule for Predicting Massive Transfusion in Trauma Victims Plewa MC, Mercy St. Vincent Medical Center, Toledo, OH

326†

The Effect of Sedative Medications on Systolic Blood Pressure and Tissue Perfusion in Patients With Closed Head Injury Undergoing Resuscitation Miner JR, Hennepin County Medical Center, Minneapolis, MN

Education

Toxicology & Pharmacology

327

Delayed Intracranial Hemorrhage in the Anticoagulated Patient: A Systematic Review Gardner-Gray J, Henry Ford Hospital, Detroit, MI

344

Prescription Opioids in the Twittersphere: A Contextual Analysis of Tweets About Prescription Drugs Shutler L, New York Hospital of Queens, Flushing, NY

328

Transfusion of Blood Products in Trauma Victims: Effects of Fresh Frozen Plasma, Platelet and Intravenous Fluid to Packed Red Blood Cell Volume Ratios on Survival Plewa MC, Mercy St. Vincent Medical Center, Toledo, OH

345

In Vitro Neutralization With Trypsin or Rosmarinic Acid Reduces the Toxicity of Micrurus Fulvius Venom Parker Cote JL, East Carolina University-Brody School of Medicine/Vidant Medical Center, Greenville, NC

329

GLASS - Glass Intact Assures Safe Spine Sochor M, University of Virginia, Charlottesville, VA

346

Opioid Education and Nasal Naloxone Rescue Kit Distribution in the Emergency Department Dwyer KH, Boston Medical Center, Boston, MA

347

Predictors of Coagulopathy and Hemorrhage in Salicylate Toxicity Russell JW, OHSU, Portland, OR

Psychiatry 330

The Emergency Department as a Gateway to Child Mental Health Services in Florida Lynch S, University of Florida, Jacksonville, FL

348*

331†

Rapid Emergency Department Medical Clearance Protocol for Psychiatric Patients Gross EA, University of Missouri, Columbia, MO

Time to Administration of Crotalid Antivenin in the Pediatric Emergency Department: A Quality Improvement Intervention Price AB, Medical University South Carolina, Charleston, SC

349*

332

Psychiatric-Associated Visits to California Emergency Departments: Presence of Licensed Psychiatric Beds and Admission Brennan JJ, University of California, San Diego, San Diego, CA

Effect of an Alcohol Withdrawal Protocol on Patient Outcomes at a Tertiary Care Hospital Sud P, North Shore University Hospital, Manhasset, NY

350*

333

The Emergency Medical Treatment and Labor Act and Patients with Psychiatric Emergencies: A Review of Relevant Case Law Lindor RA, Mayo Clinic College of Medicine, Rochester, MN

The Correlation of Lactate and Carboxyhemoglobin Levels in Carbon Monoxide Poisonings Sethuraman K, University of Maryland, Baltimore, MD

334

†

Medication Compliance by Patients Presenting to the Emergency Department Zun L, Mount Sinai Hospital, Chicago, IL

Volume 62, no. 4s : October 2013

Pain Management 351

EMF

Opioid Misuse Risk Among Emergency Department Patients With Cancer Todd KH, U of Texas MD Anderson Cancer Center, Houston, TX

Annals of Emergency Medicine A15

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 352

Apnea Characteristics and Predictors During Procedural Sedation and Analgesia Deitch K, Einstein Medical Center, Philadelphia, PA

353

Care Plans Can Reduce Emergency Department Visits for Those With Drug-Seeking Behavior Flannery AL, Morristown Medical Center, Morristown, NJ

354

355

Does an Automatic Screen Prompt on an Electronic Medical Record Decrease Time to Administration of Pain Medications? Nguyen T, Beth Israel Medical Center, New York, NY Route of Administration Specific Placebo Response Meta-Analysis for Acute Treatment of Migraine Pettigrew J, University of Louisville School of Medicine, Louisville, KY

356

Evaluating the Relationship between Opioid Analgesics and Patient Satisfaction Among Emergency Department Patients Schwartz TM, Alpert Medical School of Brown University, Providence, RI

357

Randomized Clinical Trial of Hydrocodone/Acetaminophen versus Codeine/Acetaminophen in the Treatment of Acute Extremity Pain After Emergency Department Discharge Chang AK, Montefiore Medical Center, Bronx, NY

358

The Relationship Between Patient Age and Pain Management of Long Bone Fracture in the Emergency Department Boccio E, North Shore University Hospital, Manhasset, NY

Neurology 359†

The Neurocognitive Effects of Simulated Use of Force Scenarios Dawes DM, Lompoc Valley Medical Center, Santa Barbara, CA

368

Emergency Department Initiation of Levetiracetam for Seizure: A Cohort Study Examining Psychiatric Risk Assessment and Counseling Afazal U, Michigan State University/Grand Rapids Medical Education Partners, Grand Rapids, MI

369

Changing Incidence in Emergency Department Visits for Stroke Edwards KJ, Morristown Medical Center, Morristown, NJ

2:30 - 3:30 PM POSTER PRESENTATIONS Quality and Patient Safety 130

Intravenous Home Infusion Therapy Instituted from a 24-Hour Clinical Decision Unit Decreases Hospitalization for Patients With Cellulitis Rentala M, Long Island Jewish Medical Center, New Hyde Park, NY

Critical Care 370*

Long-Term, Organ-Specific Outcomes in Survivors of Severe Sepsis or Septic Shock: A Systematic Review Guirgis FW, University of Florida, Jacksonville, FL

371†

Ecallantide for the Acute Treatment of Angiotensin Converting Enzyme Inhibitor-Induced Angioedema: A Multicenter Randomized Controlled Trial Lewis L, Washington University School of Medicine, St. Louis, MO

372

Life After Sepsis Therapy: A One-Year Follow-Up Study of Early Goal-Directed Therapy Outcomes Chettipally UK, Kaiser Permanente, South San Francisco, CA

373

Prospective Randomized Trial of Insulin Glargine in Acute Management of Diabetic Ketoacidosis in the Emergency Department: A Pilot Study Potter AJ, University of Texas Health Science Center at Houston, Houston, TX

374*

Computerized Decision-Support Decreases Vancomycin Underdosing Errors With Modest Effect on Dosing Accuracy in Critically Ill Patients in the Emergency Department Mohr NM, University of Iowa Carver College of Medicine, Iowa City, IA

375

Predictors of Dobutamine and Red Blood Cell Administration among Patients Treated With Early Goal-Directed Therapy in the Emergency Department Mark D, Kaiser Permanente, Oakland, CA

376

Bleeding Complications of Central Venous Catheterization in Septic Patients With Abnormal Hemostasis Vinson DR, The Permanente Medical Group, Sacramento, CA

360

Incidence and Clinical Characteristics of Stroke Mimics in the Era of Thrombolytics Jones JS, Spectrum Health Hospitals/Michigan State University, Grand Rapids, MI

361

Potential Sex-Specific Barriers to Treatment of Acute Stroke: Do Sex Differences in Stroke Knowledge Vary by Age? Madsen TE, Alpert Medical School of Brown University/Rhode Island Hospital, Providence, RI

362*

Improving Time to Brain Imaging in Acute Stroke: Analysis of the Increasing Stroke Treatment through Interventional Behavioral Change Tactics (INSTINCT) Trial Sauser K, University of Michigan, Ann Arbor, MI

363*

Potential Misdiagnosis of Bell’s Palsy in the Emergency Department Fahimi J, University of California, San Francisco/Alameda County Medical Center - Highland, San Francisco, CA

364

Validation of the SEDAN Score to Predict Risk of Symptomatic Intracranial Hemorrhage after Stroke Thrombolysis Schrock JW, MetroHealth Medical Center, Cleveland, OH

Education 377

365

Direct Medical Costs of Traumatic Lumbar Puncture in the Setting of Possible Subarachnoid Hemorrhage Jones JS, Spectrum Health Hospitals/Michigan State University, Grand Rapids, MI

Medical Students’ Perceptions of the Residency Interview Process Reno E, Denver Health, Denver, CO

378

Implementation and Impact of a Rural Emergency Department Acute Ischemic Stroke Clinical Pathway Oostema JA, Spectrum Health, Michigan State University College of Human Medicine, Grand Rapids, MI

Rethinking Education: The Wiscopkins Model - Novel Curriculum and Milestone Deployment Using ITunesU Tupesis JP, University of Wisconsin School of Medicine and Public Health, Madison, WI

379

How Does Emergency Department Crowding, as Measured by National Emergency Department Overcrowding Scale, Affect Medical Student Test Score and Clerkship Evaluation? Wei G, UMDNJ - Robert Wood Johnson Medical School, New Brunswick, NJ

366

367

Acute Headache in a Pediatric Emergency Department Muñiz A, Dallas Regional Medical Center, Mesquite, TX

A16 Annals of Emergency Medicine

Volume 62, no. 4s : October 2013

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd 380*

Theme-Based Ultrasound Education: A Novel Approach to Teaching Point-of-Care Ultrasound to Medical Students Amini R, University of Arizona Medical Center, Tucson, AZ

381

382

396

An Alumni Survey Using Emergency Medicine Milestones as a Needs Assessment for Curriculum Improvement Gaeta T, NY Methodist Hospital, Brooklyn, NY

Emergency Department Based Telemedicine: Testing the Feasibility of Using Telemedicine as a Communication and Consultation Tool for Critically Ill Patients Agarwal AK, University of Pennsylvania, Philadelphia, PA

397

Enhancing Ultrasound Education through Volunteer Participation in Cardiac Screening Shieh M, Beth Israel Medical Center, New York, NY

Hands-Up Time to Set Up 2 Different Mechanical Chest Compression Devices Duchateau F-X, Beaujon University Hospital, Paris, France

398

Outcome of Out-of-Hospital Infant Cardiac Arrest Presenting With Asystole as Initial Rhythm Newton T, St. John Hospital and Medical Center, Detroit, MI

383

A Descriptive Analysis of the Evaluative Components on the Standard Letter of Recommendation in Emeregency Medicine Grall K, University of Arizona, Tucson, AZ

384

Factors Influencing Physician Determination of Code Status in the Emergency Department Noonan JM, St Lukes Roosevelt Hospital, New York, NY

Practice Management

Emergency Medical Services 399*

Are Immobilization Backboards and C-Collars Needed for Patients who are Ambulatory at the Scene of a Motor Vehicle Accident?: The Occurrence of Spinal Injury Loza A, UC Irvine, Orange, CA

400

Despite Self-Reported Comfort in Managing Syncope Patients in the Out-of-Hospital Setting, Most EMS Providers have Significant Knowledge Deficits in the Definition, Etiology, and Management of Syncope Long B, Mayo Clinic College of Medicine, Rochester, MN

401*

Emergency Medical Service Frequent User Resource Utilization: The Los Angeles Experience Sanko SG, LAC-USC Medical Center, Keck School of Medicine, University of Southern California; and Los Angeles Fire Department, Los Angeles, CA

385†

Delaying the ABEM Qualifying Examination Leads to Poorer Performance Marco C, University of Toledo, Toledo, OH

386

Derivation and Validation of a Hospital Admission Prediction Model Adding Coded Chief Complaint to Demographic, Emergency Department Operational and Patient Acuity Data Available at Emergency Department Triage Using Neural Net Methodology Venkat A, Allegheny General Hospital, Pittsburgh, PA

387

Telemedicine Trial to Assess the Utility of a Remote Emergency Attending Providing Patient Care in the Emergency Department Guss DA, University of California, San Diego, CA

402

388

Individual Revenue and Cost Data to Describe Physician Productivity Parekh A, New York Methodist Hospital, Brooklyn, NY

The Impact of a New Free standing Emergency Department on a County Emergency Medical Services System Tupe CL, University of Maryland, Baltimore, MD

403*

389*

Evaluation of the Patient Satisfaction Performance of Emergency Medicine Resident Physicians in a Large Urban Academic Emergency Department Ali K, Emory University School of Medicine, Atlanta, GA

Characteristics of the Most Frequent “Super-Users” of Emergency Medical Services Sanko SG, LAC-USC Medical Center, Keck School of Medicine, University of Southern California; and Los Angeles Fire Department, Los Angeles, CA

404*

Addition of Impedance Threshold Device Therapy Improves Blood Pressure in the Out-of-Hospital Spontaneously Breathing Hypotensive Patient Wampler DA, UT Health Science Center San Antonio, San Antonio, TX

405

Efficacy of Intramuscular Epinephrine for the Treatment of Severe Anaphylaxis: A Comparison of Two Ambulance Services with Different Protocols Ellis BC, West Australian Institute for Medical Research, Perth, Australia

Resuscitation 390

Comparison of End Tidal CO2 and Cerebral Oximetry in Determining Return of Spontaneous Circulation During Cardiopulmonary Resuscitation Engel T, Wayne State University, Detroit, MI

391*

The Relationship of ETCO2 to SCVO2 and Lactate During Early Goal-Directed Therapy for the Treatment of Severe Sepsis and Septic Shock Guirgis FW, University of Florida, Jacksonville, FL

392*

Withdrawn

393*

Increased Chest Compression Depth is Associated With Improved Survival from Out-of-Hospital Cardiac Arrest Stolz U, University of Arizona College of Medicine, Tucson, AZ

394*

Comparison of Advanced Airways in the Initial Airway Management of Out-of-Hospital Cardiac Arrest-Are There Any Differences?SOS-KANTO 2012 Study Interim Report Homma Y, Tokyo Bay Urayasu/Ichikawa Medical Center, Noguchi Hideyo Memorial International Hospital, Urayasu, Japan

395

The Effect of Emergency Department Crowding and Time of Day Upon the Adherence to Early Goal-Directed Therapy Agarwal AK, University of Pennsylvania, Philadelphia, PA

Volume 62, no. 4s : October 2013

Respiratory 1 (Airway) 406*

Factors Associated With Oxyhemoglobin Desaturation During Rapid Sequence Intubation in a Pediatric Emergency Department: Findings from a Multivariable Analysis Rinderknecht AS, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH

407

Incidence of Hypoxemia During Rapid Sequence Intubation of Head-Injured Patients in the Emergency Department Sakles JC, University of Arizona, Tucson, AZ

408*

Comparison of Intubation Performance by Emergency Medicine Residents Using Gum Elastic Bougie versus Standard Stylet in Simulated Easy and Difficult Intubation Scenarios Walsh RM, Madigan Army Medical Center, Tacoma, WA

Annals of Emergency Medicine A17

Research Forum Educational Program 2013 TUESDAY, OCTOBER 15, 2013 —cont'd Respiratory 2 (Asthma) 409*

410

*

411

Factors Affecting Nebulized Albuterol Aerosol Particle Sizes Yamamoto LG, University Hawaii John A. Burns School of Medicine, Honolulu, HI

421

Mononucleosis Testing in the Emergency Department: Correlation With Signs and Symptoms Jordan M, Resurrection Medical Center, Chicago, IL

423*

Fever in Children With Sickle Cell Disease: Are All “Fevers” Equal? Shihabuddin B, University of Oklahoma Health Sciences Center, Oklahoma City, OK

424

Sepsis Screening Clinical Decision Rule: A Novel Tool to Identify Emergency Department Patients who are at High Risk for Developing Severe Sepsis/Septic Shock Bastani A, Troy Beaumont Hospital, Troy, MI

Morphological Change of Waveform End Tidal CO2 Measurements in Adult Asthma Patients: A Prospective Pilot Study Vasey M, Lincoln Medical and Mental Health Center, Bronx, NY Asthma Quality Improvement: Clinical Standard Work and Objective Admission Criteria Reduce Emergency Department Admit Length of Stay Rutman LE, Seattle Children’s Hospital/University of Washington, Seattle, WA

Simulation Respiratory 3 (Pulmonary) 412

Usefulness of Prediction for Septic Shock in Community-Acquired Pneumonia Using Delta Neutrophil Index in Emergency Department Joo Y, Yonsei University College of Medicine, Seoul, Korea

425

Securing Chest Tubes Properly: Can Low-Fidelity, Low-Cost Simulation Improve Technical Abilities of Emergency Medicine Residents? Ruparel RK, Mayo Clinic, Rochester, MN

426

A Comparison of Simulation-based Education versus Lecture-Based Instruction for Toxicology Training in Emergency Medicine Residents Varney SM, San Antonio Military Medical Center, San Antonio, TX

427

Full-Scale Human Simulation is Effective in Educating Preclinical Medical Students on Basic Acute Care Skills: A Multicenter Prospective Study Yashar MD, University of Chicago, Chicago, IL

428

Withdrawn

429

Effect of Finger-Marker for Maintaining Correct Finger Position During Pediatric Chest Compressions: A Simulation Study Suh D, Seoul National University College of Medicine, Seoul, Korea

430

Developing a Trauma Team Simulation-Based Orientation Smith MD, MetroHealth Medical Center, Cleveland, OH

Research Issues 413

Deciding Whether or Not a Diagnostic Test has at Least One “Useful Likelihood Ratio” by “Glancing” at Reported Sensitivities and Specificities Eskin B, Morristown Medical Center, Morristown, NJ

414

Using Social Media to Facilitate Community Consultation for Trials Using Exception from Informed Consent Miner JR, Hennepin County Medical Center, Minneapolis, MN

415

The Protocol Acuity Scoring Tool for Prediction of Emergency Medicine Research Study Workload Limkakeng AT, Duke University Medical Center, Durham, NC

416

A Systematic Review of Methods Used in Individual Patient Data Meta-Analyses of Clinical Trials of Acute Cardiovascular Diseases Bliton J, Michigan State University College of Human Medicine, Grand Rapids, MI, MI

417†

Efficacy Results Using a Novel Hidradenitis Suppurativa Endpoint, HISCR (Hidradenitis Suppurativa Clinical Response), From the Placebo-Controlled Phase of a Phase 2 Adalimumab Study Sood S, AbbVie Inc., North Chicago, IL

Infectious Diseases 418

The Incidence of Ventilator-Associated Pneumonia in Patients Intubated in the Emergency Department Stehman CR, Brigham and Women’s Hospital, Boston, MA

419

HIV Testing in the Emergency Department: Provider Attitudes and Perceived Barriers Towards Testing Lo BM, Eastern Virginia Medical School/Sentara Norfolk General Hospital, Norfolk, VA

420

An Analysis of Appropriateness of Antimicrobial Prescription in Discharged Adult Patients in the Emergency Department Venkat A, Allegheny General Hospital, Pittsburgh, PA

A18 Annals of Emergency Medicine

Wellness/Wellbeing 431

A Strategy to Improve Wellness Among Out-of-Hospital Providers Oglesbee S, Albuquerque Ambulance, Albuquerque, NM

432*

Navigating the Work-Family Dynamic: Emergency Physicians’ Contemporary Perspectives Abraham SL, University of Rochester, Rochester, NY

†In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards and the policy of the American College of Emergency Physicians, the presenters noted with an (†) have indicated they have a relationship which, in the context of their presentation, could be perceived by some as a real or apparent conflict of interest (eg, ownership of stock, honoraria, or consulting fees), but these presenters do not consider that it will influence their presentations. EMF Supported by an Emergency Medicine Foundation grant. * Young Investigator.

Volume 62, no. 4s : October 2013